Consultative Coding Manager
About The Position
The Consultative Coding Manager leads a diverse team of consultative coders to ensure clinical documentation supports accurate coding and reflects disease prevalence within the population. The role partners with the Divisional Coding Leader to develop market-specific strategies for accurate clinical documentation, ensure compliance with state, federal, and internal policies and procedures, and foster collaboration across onshore and offshore coding, audit, and education teams. This is a remote, market-based role. Candidates must currently reside in Florida, Georgia, North Carolina, or South Carolina. Approximately 25% travel may be required, including occasional travel to Humana offices for training or meetings. The position is scheduled for 40 hours per week and requires a dedicated home workspace that protects member PHI/HIPAA information, as well as internet service meeting the stated minimum speed requirements. The position offers a base salary range of $86,300 to $118,700 per year and is eligible for a bonus incentive plan. Humana offers medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other benefits.
Requirements
- Bachelor's degree or equivalent experience.
- At least 6 years of technical experience, including experience with Microsoft Office Suite.
- At least 2 years of management experience.
- CPC (Certified Professional Coder) certification.
- RHIA, RHIT, CCS, or CPC certification.
- Knowledge of and experience with Medicare Risk Advantage.
- Passion for contributing to an organization focused on continuously improving consumer experiences.
- Must currently reside in Florida, Georgia, North Carolina, or South Carolina.
- Must be able to travel approximately 25%.
Responsibilities
- Serve as a point of contact for physicians and advanced practice providers on documentation and coding questions and issues.
- Partner with Divisional Coding Leaders to develop consultative coding strategies that meet market needs.
- Share knowledge and best practices with Divisional Coding Leaders, Market Leaders, and Consultative Coders.
- Identify and recommend strategies to improve clinical documentation and coding for pre-visit and post-visit coding.
- Establish relationships with post-visit and offshore coding leadership.
- Develop continuous quality improvement initiatives.
- Monitor special handling of mergers and acquisitions.
- Oversee Problem List cleanup as outlined by compliance.
- Ensure PCO process training is performed consistently, including training on reporting.
- Manage a diverse team of consultative coders.
- Ensure state, federal, and internal policies and procedures are followed.
- Foster collaboration across onshore and offshore coding, audit, and education teams.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability insurance
- Long-term disability insurance
- Life insurance
- Bonus incentive plan
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What This Job Offers
Job Type
Full-time
Career Level
Manager
